A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following actions by the nurse demonstrates cost-effective care?
Flexes the client's affected hip to 120
Adducts the client's affected leg
Checks the neurovascular status of the client's lower extremities every 6 hr
Applies a sequential compression device to the client's lower extremities
The Correct Answer is D
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Correct Answer is A
Explanation
a. Giving broad openings
The nurse is using the therapeutic technique of giving broad openings. This technique encourages the client to freely express themselves and choose the focus of the conversation. By asking, "What has been happening with you today?" the nurse is inviting the client to share their thoughts, feelings, and experiences without imposing any specific topic or direction.
Explanation for the other options:
b. Focusing: Focusing is a therapeutic technique where the nurse directs the conversation to a specific topic or issue. In this scenario, the nurse is not guiding the client's response toward a particular area of discussion.
c. Reflecting: Reflecting is a therapeutic technique where the nurse repeats or paraphrases the client's words or feelings to demonstrate understanding and encourage further exploration. The nurse's statement in this scenario does not involve reflecting the client's words or feelings.
d. Seeking clarification: Seeking clarification is a therapeutic technique used to obtain more specific information or clear up any confusion. The nurse's statement in this scenario does not involve seeking clarification from the client.
In summary, by using a broad opening, the nurse allows the client to choose the focus of the conversation
and encourages them to share their experiences and concerns.
Correct Answer is C
Explanation
c. Veracity
The nurse is exhibiting the ethical concept of veracity by providing the client with truthful and accurate information about the purpose of the medication. Veracity refers to the obligation to tell the truth and provide information in an honest and transparent manner.
Explanation for the other options:
a .Accountability: Accountability refers to taking responsibility for one's actions and being answerable for the outcomes. While accountability is an important ethical concept for healthcare professionals, it is not directly demonstrated in this situation.
b. Autonomy: Autonomy refers to respecting an individual's right to make their own decisions and choices regarding their healthcare. While the nurse is providing information to the client, autonomy is not directly demonstrated in this situation.
d. Fidelity: Fidelity refers to being faithful and keeping promises or commitments made to clients. While
fidelity is an important ethical concept, it is not directly demonstrated in this situation.
e. Justice: Justice refers to fairness and the equitable distribution of healthcare resources. While justice is an important ethical concept, it is not directly demonstrated in this situation.
In this scenario, the nurse's action of providing truthful information to the client aligns with the ethical
concept of veracity.
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